Active NPI
Shea Consulting Group PLLC
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1417520768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- SHEA CONSULTING GROUP PLLC
- Practice address
- 1732 Yosemite St
Denver, CO 80220-5404 - Phone
- (720) 579-2226
- Fax
- (970) 360-1531
- NPI assigned
- Jul 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy P Shea, PSY.D.
- Title
- Neuropsychologist
- Phone
- (720) 579-2226
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
1732 Yosemite St
Denver, CO 80220-5404
Mailing address
303 S Broadway Ste 200-301
Denver, CO 80209-1558
Phone (720) 579-2226
Other names 1
- Colorado Brain Injury Center
National Provider Directory
National Provider DirectoryLocations
303 S Broadway
Ste 200301
Denver, CO 80209
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Denver, CO
- NPI 1144565094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626912000000",
"number": "1417520768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 S BROADWAY STE 200-301",
"city": "DENVER",
"state": "CO",
"postal_code": "802091558",
"telephone_number": "720-579-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1732 YOSEMITE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802205404",
"telephone_number": "720-579-2226",
"fax_number": "970-360-1531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEA CONSULTING GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-22",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A",
"authorized_official_last_name": "SHEA",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
"authorized_official_telephone_number": "720-579-2226",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Colorado Brain Injury Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.